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6. <br />Name of owner of the subsurface riehts of affected land: <br />7. Name of owner of the surface of affected land: SAME <br />8. Type of minine operation: X Surface Underground In-situ <br />9. Location information: The center of the area where [he majority of mining will occur: <br />COUNTY: LINCOLN <br />PRINCIPAL MERIDIAN (check one): X 6th (Colorado) <br />SECTION (write number): S 2 0 <br />7 <br />TOWNSHIP (write number and check direction): T <br />10th (New Mexico) Ute <br />North <br />RANGE (write number and check direction): R 5 5 _ East <br />X South <br />X West <br />QUARTER SECTION (check one): _ NE X NW _ SE _ SW <br />QUARTER/QUARTERSFCTION (check one): _ NE _ NW _ SE % SW <br />GENERAL DESCRIPTION: (the number of miles and direction from the nearest town and the approximate elevation): <br />APPROX 6 MILES NORTH OF GENOA 5600 ft <br />I0. Primary future (Post-minine) land use (check one <br />Cropland(CR) _ Pastureland(PL) _ General Agriculture(GA) <br />x Rangeland(RL) _ Forestry(FR) _ WildlifeHabitat(WL) <br />Residential(RS) _ Recreation(RC) _ Industrial/Commercial(IC) <br />Developed Water Resources(WR) _ Solid Waste Disposal(WD) <br />11. Primary present land use (check one <br />Cropland(CR) _ Pastureland(PL) ~ General Agriculture(GA) <br />x Rangeland(RL) _ Forestry(FR) _ WildlifeHabitat(WL) <br />Residen[ial(RS) _ Recreation(RC) _ Indusvial/Commercial(IC) <br />Developed Water Resources (WR) -Mining (MN) <br />12. If this operation will use designated chemicals, or will result, or presently has acid mine drainage -you cannot use this application form You must <br />submit either a 110d or 112d application form for Designated Mining Operations. In either case, you must list any acidic or toxic-forming <br />materials, exposed or disturbed as a result of the mining operation, and whether the operation will result in or presently has acid mine drainage: <br />NA <br />13. Description of Amendment or Conversion: <br />If you arNA ending or converting an existing operation, provide a brief narrative describing the proposed change(s): <br />- 2 - <br />TERESA O'DWYER <br />